The Effect of Nordic Hamstring Exercise Intervention Volume on Eccentric Strength and Muscle Architecture Adaptations: A Systematic Review and Meta-analyses.


Journal

Sports medicine (Auckland, N.Z.)
ISSN: 1179-2035
Titre abrégé: Sports Med
Pays: New Zealand
ID NLM: 8412297

Informations de publication

Date de publication:
Jan 2020
Historique:
pubmed: 11 9 2019
medline: 20 8 2020
entrez: 11 9 2019
Statut: ppublish

Résumé

Although performance of the Nordic hamstring exercise (NHE) has been shown to elicit adaptations that may reduce hamstring strain injury (HSI) risk and occurrence, compliance in NHE interventions in professional soccer teams is low despite a high occurrence of HSI in soccer. A possible reason for low compliance is the high dosages prescribed within the recommended interventions. The aim of this review was to investigate the effect of NHE-training volume on eccentric hamstring strength and biceps femoris fascicle length adaptations. A literature search was conducted using the SPORTDiscus, Ovid, and PubMed databases. A total of 293 studies were identified prior to application of the following inclusion criteria: (1) a minimum of 4 weeks of NHE training was completed; (2) mean ± standard deviation (SD) pre- and post-intervention were provided for the measured variables to allow for secondary analysis; and (3) biceps femoris muscle architecture was measured, which resulted in 13 studies identified for further analysis. The TESTEX criteria were used to assess the quality of studies with risk of bias assessment assessed using a fail-safe N (Rosenthal method). Consistency of studies was analysed using I A range of scores (3-11 out of 15) from the TESTEX criteria were reported, showing variation in study quality. A 'low risk of bias' was observed in the randomized controlled trials included, with no study bias shown for both strength or architecture (N = 250 and 663, respectively; p < 0.001). Study consistency was moderate to high for strength (I Reducing NHE volume prescription does not negatively affect adaptations in eccentric strength and muscle architecture when compared with high dose interventions. These findings suggest that lower volumes of NHE may be more appropriate for athletes, with an aim to increase intervention compliance, potentially reducing the risk of HSI.

Sections du résumé

BACKGROUND BACKGROUND
Although performance of the Nordic hamstring exercise (NHE) has been shown to elicit adaptations that may reduce hamstring strain injury (HSI) risk and occurrence, compliance in NHE interventions in professional soccer teams is low despite a high occurrence of HSI in soccer. A possible reason for low compliance is the high dosages prescribed within the recommended interventions. The aim of this review was to investigate the effect of NHE-training volume on eccentric hamstring strength and biceps femoris fascicle length adaptations.
METHODS METHODS
A literature search was conducted using the SPORTDiscus, Ovid, and PubMed databases. A total of 293 studies were identified prior to application of the following inclusion criteria: (1) a minimum of 4 weeks of NHE training was completed; (2) mean ± standard deviation (SD) pre- and post-intervention were provided for the measured variables to allow for secondary analysis; and (3) biceps femoris muscle architecture was measured, which resulted in 13 studies identified for further analysis. The TESTEX criteria were used to assess the quality of studies with risk of bias assessment assessed using a fail-safe N (Rosenthal method). Consistency of studies was analysed using I
RESULTS RESULTS
A range of scores (3-11 out of 15) from the TESTEX criteria were reported, showing variation in study quality. A 'low risk of bias' was observed in the randomized controlled trials included, with no study bias shown for both strength or architecture (N = 250 and 663, respectively; p < 0.001). Study consistency was moderate to high for strength (I
CONCLUSIONS CONCLUSIONS
Reducing NHE volume prescription does not negatively affect adaptations in eccentric strength and muscle architecture when compared with high dose interventions. These findings suggest that lower volumes of NHE may be more appropriate for athletes, with an aim to increase intervention compliance, potentially reducing the risk of HSI.

Identifiants

pubmed: 31502142
doi: 10.1007/s40279-019-01178-7
pii: 10.1007/s40279-019-01178-7
pmc: PMC6942028
doi:

Types de publication

Journal Article Meta-Analysis Systematic Review

Langues

eng

Sous-ensembles de citation

IM

Pagination

83-99

Commentaires et corrections

Type : ErratumIn
Type : CommentIn
Type : CommentIn

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Auteurs

Matthew Cuthbert (M)

Human Performance Laboratory, University of Salford, Greater Manchester, UK. m.cuthbert@edu.salford.ac.uk.
The FA Group, St George's Park, Burton-upon-Trent, Staffordshire, UK. m.cuthbert@edu.salford.ac.uk.

Nicholas Ripley (N)

Human Performance Laboratory, University of Salford, Greater Manchester, UK.

John J McMahon (JJ)

Human Performance Laboratory, University of Salford, Greater Manchester, UK.

Martin Evans (M)

The FA Group, St George's Park, Burton-upon-Trent, Staffordshire, UK.

G Gregory Haff (GG)

Human Performance Laboratory, University of Salford, Greater Manchester, UK.
Centre for Exercise and Sports Sciences Research (CESSR), School of Exercise and Health Sciences, Edith Cowan University, Joondalup, Australia.

Paul Comfort (P)

Human Performance Laboratory, University of Salford, Greater Manchester, UK.
Institute for Sport, Physical Activity and Leisure, Carnegie School of Sport, Leeds Beckett University, Leeds, UK.

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Classifications MeSH